Patient's question:
Doctor: Hello! My nephew is a premature baby~ He is now 9 months old~ Since he was over 7 months old, he has been twitching occasionally~ His head and body shake a few times~ Like having chills~ It doesn't happen when he sleeps~ Is this normal??~ What factors or causes could this be??~ I hope for detailed information~ Thank you!First follow-up question: (2007-6-5 23:09:31) Checked for trace elements~ Everything is normal~ Not lacking in zinc or calcium
Doctor's answer:
There are many reasons why a baby might tremble, the most common being vitamin D and calcium deficiency, as well as hypoxic-ischemic encephalopathy. Infants and young children have underdeveloped nervous systems, and when exposed to stimuli, they may exhibit increased muscle tone and involuntary trembling. You can observe the child for any other abnormal signs, such as unusual eye positioning during tremors. If the trembling is merely rapid and momentary, and the baby's overall condition is good, it is a normal part of development. However, if the trembling worsens, occurs frequently, or is accompanied by staring eyes, neck arching, or other symptoms, you should take the child to a pediatric neurology department for a medical evaluation.If a baby falls and does not experience projectile vomiting, drowsiness, lethargy, irritability, or crying at the time, it is likely that there are no serious brain issues, and it should not affect their intellectual development. Further observation is recommended, as the situation should be fine. Typically, if there are no abnormalities within three days (72 hours) after the head injury, it is usually not a problem. However, if any abnormal symptoms appear within this period, it is necessary to take the child to the hospital for a head CT scan.
Never delay seeking medical attention, as missing the optimal treatment window can have serious consequences.